P Praxis·MD
● Active Type 2 · Organization Subpart

Pocatello Hospital, Llc

Non-Pharmacy Dispensing Site·Pocatello, ID· NPI 1700659935 · Enumerated 2023 · 2 years on NPI
Pocatello Hospital, Llc is 1 of 14 non-pharmacy dispensing site organizations in Idaho.
NPI age
2 years
Enumerated 2023-10-31
Primary specialty
Non-Pharmacy Dispensing Site
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petrovich
Evp, General Counsel
Last NPPES update
2023-10-31
Source: monthly bulk 2026-05

How this organization compares

Across 14 active non-pharmacy dispensing site providers in Idaho.

NPI age
2 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-10Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
777 Hospital Way
Pocatello, ID 832015175
📞 2082391000
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 370275697
📞 6152963000

Authorized official

Stephen C. Petrovich
Evp, General Counsel
📞 6152963594

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Non-Pharmacy Dispensing Site Primary
    A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
    taxonomy 332900000X

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of Pocatello Health System, Llc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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